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ICD-10 Guide
ICD-10 CodesS61.320

S61.320

Billable

Laceration with foreign body of right index finger with damage to nail

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S61.320 is a billable code used to indicate a diagnosis of laceration with foreign body of right index finger with damage to nail.

Key Diagnostic Point:

S61.320 describes a specific type of injury characterized by a laceration of the right index finger that includes the presence of a foreign body and damage to the nail. This injury can occur due to various mechanisms, such as cuts from sharp objects, punctures from nails or glass, or abrasions that introduce foreign materials into the wound. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage. Damage to the nail can result in nail bed injuries, which may require surgical intervention for proper healing and cosmetic restoration. Clinically, such injuries necessitate thorough examination and possibly imaging to assess for deeper structures involved, including tendons, nerves, and bones. Treatment often involves cleaning the wound, removing the foreign body, and repairing any damaged structures, which may include suturing the laceration and addressing the nail injury. Proper coding is essential for accurate billing and to reflect the complexity of the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of a foreign body complicates the injury.
  • Potential for associated tendon or nerve damage.
  • Need for surgical intervention may vary.
  • Documentation must specify the extent of nail damage.

Audit Risk Factors

  • Inadequate documentation of the foreign body removal.
  • Failure to specify the extent of nail damage.
  • Misclassification of the injury type.
  • Lack of imaging documentation if deeper structures are involved.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, extent of damage, and any surgical procedures performed.

Common Clinical Scenarios

Fractures associated with lacerations, tendon repairs, and foreign body removals.

Billing Considerations

Ensure that all surgical interventions are documented, including any complications.

Plastic Surgery

Documentation Requirements

Comprehensive records of cosmetic and functional outcomes post-surgery.

Common Clinical Scenarios

Reconstruction of nail beds and soft tissue repairs.

Billing Considerations

Document aesthetic considerations and patient satisfaction metrics.

Coding Guidelines

Inclusion Criteria

Use S61.320 When
  • Follow official ICD
  • CM guidelines for coding injuries, ensuring accurate documentation of the injury's specifics, including the presence of foreign bodies and nail damage
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S61.320 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the laceration after foreign body removal.

Documentation Requirements

Document the size and depth of the laceration.

Specialty Considerations

Orthopedic or plastic surgery notes may be required for complex cases.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of injuries, including the presence of foreign bodies and nail damage, which enhances the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of injuries, including the presence of foreign bodies and nail damage, which enhances the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should be documented for S61.320?

Documentation should include the mechanism of injury, details of the laceration, presence of any foreign bodies, extent of nail damage, and any surgical procedures performed.